Provider Demographics
NPI:1740439421
Name:PELAYO, LILIANA (FMD/CBHCM/BSN)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:
Last Name:PELAYO
Suffix:
Gender:F
Credentials:FMD/CBHCM/BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 SW 27TH AVE APT 706
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3672
Mailing Address - Country:US
Mailing Address - Phone:786-414-5921
Mailing Address - Fax:
Practice Address - Street 1:12001 SW 128TH CT STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4665
Practice Address - Country:US
Practice Address - Phone:786-975-7485
Practice Address - Fax:954-860-7166
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker